145k views
4 votes
An LPN is assigned to care for an 82-year-old pt who had a total R Hip replacement with cement 2 days ago. Which observations should the LPN immediately report to the RN?

a) Sudden increase in blood pressure
b) Redness and warmth at the surgical site
c) Mild discomfort reported by the patient
d) Temporary decrease in appetite

1 Answer

7 votes

Final answer:

An LPN should immediately report redness and warmth at the surgical site of a hip replacement to the RN, as these can indicate an infection. Other serious observations like a sudden increase in blood pressure are also important to report, although mild discomfort and a temporary decrease in appetite may be less urgent.

Step-by-step explanation:

An LPN (Licensed Practical Nurse) caring for an 82-year-old patient who had a total right hip replacement with cement should immediately report any redness and warmth at the surgical site to the RN (Registered Nurse). These symptoms can indicate a potential infection, which requires prompt attention to prevent further complications. Other observations such as a sudden increase in blood pressure could also be significant and warrant reporting, as it could indicate a cardiovascular issue or pain. However, mild discomfort and a temporary decrease in appetite may be within normal limits post-operatively but should still be documented and monitored.

Given the patient's age and the nature of the surgery, it's critical to be vigilant for signs of infection or other complications. For example, the elderly are at increased risk of complications from immobility, such as blood clots, pneumonia, pressure sores, and urinary tract infections. Quick intervention to these signs can help improve the patient's outcome after such a significant procedure as a hip replacement.

User Xonatron
by
8.7k points